Healthy Creamy Pumpkin Sage

Featured in: Fresh Healthy

This festive dish brings together whole wheat pasta coated in a creamy pumpkin sauce enriched with fresh sage and subtle spices. The sauce blends pumpkin puree with vegetable broth, almond milk, Greek yogurt, and Parmesan for a smooth texture and balanced flavor. Cooking starts with sautéeing shallots, garlic, and sage, then simmering the sauce before tossing with al dente pasta. Garnished with extra sage and Parmesan, it’s lightened for health while maintaining comfort and depth, ideal for holiday gatherings or everyday enjoyment.

Updated on Fri, 28 Nov 2025 15:44:00 GMT
Healthy Creamy Pumpkin Sage Holiday Pasta, plated beautifully, with vibrant sauce and fresh sage garnish. Pin
Healthy Creamy Pumpkin Sage Holiday Pasta, plated beautifully, with vibrant sauce and fresh sage garnish. | panpatriot.com

A comforting, festive pasta dish featuring a velvety pumpkin sauce infused with fresh sage, perfect for holiday gatherings. Lightened up for a healthy twist without sacrificing flavor.

I first served this to my family during the holidays and it quickly became a new favorite for its rich flavor and healthy ingredients.

Ingredients

  • Pasta: 340 g (12 oz) whole wheat fettuccine or spaghetti
  • Pumpkin Sage Sauce: 1 tablespoon olive oil, 2 small shallots finely chopped, 3 cloves garlic minced, 400 g (1 2/3 cups) canned pure pumpkin puree (unsweetened), 240 ml (1 cup) low-sodium vegetable broth, 120 ml (1/2 cup) unsweetened almond milk (or low-fat milk), 60 g (1/4 cup) Greek yogurt (2% or nonfat), 10 fresh sage leaves finely chopped, 1/2 teaspoon ground nutmeg, 1/4 teaspoon ground black pepper, 1/2 teaspoon salt or to taste, 2 tablespoons grated Parmesan cheese (plus more for serving)
  • Garnish: Fresh sage leaves (optional), Additional grated Parmesan cheese

Instructions

Step 1:
Cook the pasta in a large pot of salted boiling water according to package instructions until al dente. Reserve 1/2 cup pasta water before draining.
Step 2:
Meanwhile, heat olive oil in a large skillet over medium heat. Add shallots and cook for 23 minutes until softened. Add garlic and chopped sage sauté for 1 minute until fragrant.
Step 3:
Stir in pumpkin puree, vegetable broth, almond milk, nutmeg, pepper, and salt. Simmer for 57 minutes, stirring occasionally, until warmed and slightly thickened.
Step 4:
Reduce heat to low. Whisk in Greek yogurt and 2 tablespoons grated Parmesan until smooth and creamy. If sauce is too thick, add reserved pasta water as needed.
Step 5:
Add cooked pasta to the sauce, tossing to coat evenly. Warm through for 12 minutes.
Step 6:
Serve in bowls, garnished with extra sage and Parmesan as desired.
Pin
| panpatriot.com

This recipe brings my family together every holiday season as we enjoy a healthy home-cooked meal full of flavor.

Required Tools

Large pot, Colander, Large skillet, Whisk, Chefs knife, Cutting board

Allergen Information

Contains dairy (Greek yogurt, Parmesan). Contains gluten (pasta). Contains tree nuts if almond milk is used. For allergies, use gluten-free pasta, dairy-free yogurt cheese, and alternative milk.

Nutritional Information

Calories 355, Total Fat 8 g, Carbohydrates 56 g, Protein 15 g

A steaming bowl of Healthy Creamy Pumpkin Sage Holiday Pasta, garnished with Parmesan for that extra flavor. Pin
A steaming bowl of Healthy Creamy Pumpkin Sage Holiday Pasta, garnished with Parmesan for that extra flavor. | panpatriot.com

This healthy creamy pumpkin sage pasta is perfect for holiday dinners yet light enough to enjoy any time of year.

Recipe Questions

What pasta works best with the creamy pumpkin sauce?

Whole wheat fettuccine or spaghetti hold the sauce well, providing a hearty texture while complementing the creamy pumpkin flavor.

Can I substitute almond milk with another option?

Yes, low-fat dairy milk or other plant-based milks can be used. Almond milk adds a subtle nuttiness without overpowering the sauce.

How can I make this dish vegan-friendly?

Use plant-based yogurt alternatives and omit or replace Parmesan with a vegan cheese substitute for similar creaminess.

What is the role of Greek yogurt in the sauce?

Greek yogurt adds creaminess and a slight tang, enhancing texture without adding heaviness, while keeping the sauce light.

Are there any suggested additions for extra nutrition?

Sautéed mushrooms, spinach, or roasted Brussels sprouts can be added to boost fiber and vitamins without altering the core flavors.

Healthy Creamy Pumpkin Sage

Festive pasta with creamy pumpkin sauce and fresh sage, perfect for a healthful holiday dish.

Prep duration
15 min
Cooking duration
20 min
Total duration
35 min

Category Fresh Healthy

Difficulty Easy

Origin American/Italian Fusion

Yield 4 Servings

Dietary requirements Vegetarian

Ingredients

Pasta

01 12 oz whole wheat fettuccine or spaghetti

Pumpkin Sage Sauce

01 1 tablespoon olive oil
02 2 small shallots, finely chopped
03 3 cloves garlic, minced
04 1 2/3 cups canned unsweetened pure pumpkin puree
05 1 cup low-sodium vegetable broth
06 1/2 cup unsweetened almond milk or low-fat milk
07 1/4 cup Greek yogurt (2% or nonfat)
08 10 fresh sage leaves, finely chopped
09 1/2 teaspoon ground nutmeg
10 1/4 teaspoon ground black pepper
11 1/2 teaspoon salt, or to taste
12 2 tablespoons grated Parmesan cheese, plus more for serving

Garnish

01 Fresh sage leaves (optional)
02 Additional grated Parmesan cheese

Directions

Step 01

Prepare pasta: Cook pasta in a large pot of salted boiling water according to package directions until al dente. Reserve 1/2 cup pasta water before draining.

Step 02

Sauté shallots and aromatics: Heat olive oil in a large skillet over medium heat. Add chopped shallots and cook 2 to 3 minutes until softened. Add minced garlic and chopped sage; sauté for 1 minute until fragrant.

Step 03

Simmer pumpkin sauce: Stir in pumpkin puree, vegetable broth, almond milk, nutmeg, black pepper, and salt. Simmer gently for 5 to 7 minutes, stirring occasionally, until warmed and slightly thickened.

Step 04

Incorporate yogurt and cheese: Reduce heat to low. Whisk in Greek yogurt and 2 tablespoons grated Parmesan until the sauce is smooth and creamy. Thin sauce with reserved pasta water if needed.

Step 05

Combine pasta and sauce: Add cooked pasta to the sauce, tossing to coat evenly. Warm through for 1 to 2 minutes.

Step 06

Serve: Dish into bowls and garnish with extra sage leaves and Parmesan cheese if desired.

Necessary tools

  • Large pot
  • Colander
  • Large skillet
  • Whisk
  • Chef’s knife
  • Cutting board

Allergy information

Review each ingredient for potential allergens and consult with healthcare providers if you're uncertain.
  • Contains dairy from Greek yogurt and Parmesan cheese.
  • Contains gluten from pasta.
  • Contains tree nuts if almond milk is used.
  • Use gluten-free pasta and dairy-free alternatives for allergies.

Nutrition facts (per portion)

These values are estimates only and shouldn't replace professional medical guidance.
  • Calories: 355
  • Fat: 8 g
  • Carbohydrates: 56 g
  • Protein: 15 g